Individual
LISA RENE' SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3204 GULFVIEW DR, HERNANDO BEACH, FL 34607-3033
(352) 835-1309
(352) 596-9920
Mailing address
3204 GULFVIEW DR, HERNANDO BEACH, FL 34607-3033
(352) 835-1309
(352) 596-9920
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
693468496
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693468496
—
FL
Enumeration date
05/07/2009
Last updated
05/07/2009
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